Provider Demographics
NPI:1770081515
Name:STEUER, ROBERT RICKY (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:RICKY
Last Name:STEUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4157 N 900 W
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-1009
Mailing Address - Country:US
Mailing Address - Phone:801-656-5797
Mailing Address - Fax:
Practice Address - Street 1:4157 N 900 W
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-1009
Practice Address - Country:US
Practice Address - Phone:801-656-5797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT156830-1205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery